Oral health promotion practice: A survey of dental professionals in Wales

2002 ◽  
Vol 40 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Robert Anderson ◽  
Elizabeth T Treasure ◽  
Andrew S Sprod
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Oral Health Promotion ◽  
Health Promotion Practice ◽  
Dental Professionals

scholarly journals Oral health academics’ conceptualisation of health promotion and perceived barriers and opportunities in dental practice: a qualitative study.

2020 ◽  
Author(s):  
Stacey Bracksley-O'Grady ◽  
Karen Anderson ◽  
Mohd Masood
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Health Education ◽  
Health Professionals ◽  
Nominal Group ◽  
Dental Practice ◽  
Oral Diseases ◽  
Barriers And Opportunities ◽  
Health Promotion Practice ◽  
Dental Professionals

Abstract Oral diseases, place a significant burden on individual and population health. These diseases are largely preventable; health promotion initiatives have been shown to decrease the disease rates. However, there is limited implementation of health promotion in dentistry, this could be due to a number of factors; the ethos and philosophy of dentistry is focused on a curative, individualised approach to oral diseases, confusion around health promotion as a concept. Oral health academics are well placed to implement health promotion, training of these professionals needs to include prevention, as training influences dental practice. However, there is a little understanding about how oral health academics (dental professionals who educate dental and oral health students) view health promotion. The aim of this study is to understand how oral health academics conceptualise health promotion and perceive the barriers and possible opportunities for health promotion implementation in dental practice. Methods: Nominal group technique (NGT), a highly structured face-to-face meeting, was conducted with 24 oral health academics to explore how they conceptualize health promotion and the barriers and opportunities for health promotion in practice. An additional 4 questions were emailed to oral health educators after the NGT meeting to gather additional data, 6 oral health academics were involved. The data was analyzed using thematic analysis. Results: Four board themes were identified: “health education”; “structure of dental practice”; “work in progress”; “collaboration”. The oral health academics in this study discussed health promotion in a holistic way, however, health education and behaviour change were mentioned more than other aspects of health promotion. The structure of dental practice specifically the curative approach that underpins dentistry and the lack of funding, and value placed on health promotion could act as a barrier to health promotion being implemented in practice. There has been a shift towards prevention in dentistry, however the participants acknowledge there needs to be a change in the curative culture of the profession. Collaboration with other health professionals and using a common risk factor approach were the identified opportunities for health promotion practice. Conclusions: Oral health academics have a holistic understanding of health promotion, but still focus more on behavioural approaches which is common within dentistry. For a change to occur in health promotion practice a change in the structure, curative approach and funding model of dentistry is required. Collaboration with other health professionals is an opportunity to be capitalised on. Training of future dental professionals is the perfect place to start to implement the changes and opportunities for health promotion presented in this paper.

scholarly journals Oral health academics’ conceptualisation of health promotion and perceived barriers and opportunities in dental practice: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stacey Bracksley-O’Grady ◽  
Karen Anderson ◽  
Mohd Masood
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Health Professionals ◽  
Nominal Group ◽  
Dental Practice ◽  
Oral Diseases ◽  
Holistic Understanding ◽  
Barriers And Opportunities ◽  
Health Promotion Practice ◽  
Dental Professionals

Abstract Background Oral diseases place a significant burden on individual and population health. These diseases are largely preventable; health promotion initiatives have been shown to decrease the disease rates. However, there is limited implementation of health promotion in dentistry, this could be due to a number of factors; the ethos and philosophy of dentistry is focused on a curative, individualised approach to oral diseases, confusion around health promotion as a concept. Oral health academics are well placed to implement health promotion, training of these professionals needs to include prevention, as training influences dental practice. However, there is a little understanding about how oral health academics (dental professionals who educate dental and oral health students) view health promotion. The aim of this exploratory study is to understand how oral health academics conceptualise health promotion and perceive the barriers and possible opportunities for health promotion implementation in dental practice. Methods Nominal group technique (NGT), a highly structured face-to-face meeting, was conducted with 24 oral health academics to explore how they conceptualize health promotion and the barriers and opportunities for health promotion in practice. An additional 4 questions were emailed to oral health educators after the NGT meeting to gather additional data, 6 oral health academics were involved. The data was analyzed using thematic analysis. Results Three board themes were identified: “Knowledge, ideas and concepts of health promotion”, “Challenges to health promotion”, “Opportunities for health promotion practice”. The oral health academics in this study discussed health promotion in a holistic way, however, health education and behaviour change were mentioned more than other aspects of health promotion. The structure of dental practice specifically the curative approach that underpins dentistry and the lack of funding, and value placed on health promotion could act as a challenge to health promotion being implemented in practice. There has been a shift towards prevention in dentistry, however the participants acknowledge there needs to be a change in the curative culture of the profession. Collaboration with other health professionals and using a common risk factor approach were the identified opportunities for health promotion practice. Conclusions Oral health academics have a holistic understanding of health promotion, but still focus more on behavioural approaches which is common within dentistry. For a change to occur in health promotion practice a change in the structure, curative approach and funding model of dentistry is required. Collaboration with other health professionals is an opportunity to be capitalised on. Training of future dental professionals is the perfect place to start to implement the changes and opportunities for health promotion presented in this paper.

scholarly journals How oral health educators conceptualise health promotion: a qualitative study.

2020 ◽  
Author(s):  
Stacey Bracksley-O'Grady ◽  
Karen Anderson ◽  
Mohd Masood
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Health Professionals ◽  
Nominal Group Technique ◽  
Nominal Group ◽  
Health Educators ◽  
Oral Diseases ◽  
Barriers And Opportunities ◽  
Health Promotion Practice ◽  
Dental Professionals

Abstract Background: Dental diseases, dental caries and periodontal disease, place a significant burden on individual and population health level. These diseases are largely preventable; health promotion initiatives have been shown to decrease the disease rates. However, there is limited implementation of health promotion in dentistry, this could be due to a number of factors, the ethos and philosophy of dentistry is focused on a curative, individualised approach to oral diseases, there is confusion around health promotion as a concept. However, dental professionals are well placed to implement health promotion, but there is a lack of understanding about the training and what dental professionals understand about health promotion.The aim was to explore conceptualization of health promotion among oral health educators and identifying the barriers and opportunities for health promotion in practiceMethods: Nominal group technique (NGT), a highly structured face-to-face meeting, was conducted with 24 oral health educators to explore how they conceptualize health promotion and the barriers and opportunities for health promotion in practice. An additional 4 questions were emailed to oral health educators after the NGT to gather additional data, 6 oral health educators were involved. The data was analyzed using thematic analysis.Results: The oral health educators in this study discussed health promotion in a holistic way, however, health education and behaviour change were mentioned more than other aspects of health promotion. Collaboration with other health professionals and getting involved in already existing health promotion programs were the identified opportunities for health promotion practice. However, the barriers of health promotion practice were identified as the curative approach that underpins dentistry and the lack of funding, time and value placed on health promotion.Conclusions: This study moves beyond a problem describing to problem solving in this space. Collaboration with other health professionals is an opportunity to be capitalised on. However, to see the biggest improvement in health promotion the curative, individualised approach to dentistry needs to be challenged.

Analysis of Feedback to an Oral Health Promotion Website - ‘eDantSeva’ at a Tertiary Dental Institute in New Delhi

2020 ◽  
Author(s):  
Monica Dev ◽  
Upendra Singh Bhadouria ◽  
Charu Khurana ◽  
Priyanka Ravi ◽  
Anupama Ivaturi ◽  
...  
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
New Delhi ◽  
Oral Health Promotion

scholarly journals Acceptability of a Mobile Application in Children’s Oral Health Promotion—A Pilot Study

2021 ◽  
Vol 18 (6) ◽  
pp. 3256
Author(s):  
Kirsi Rasmus ◽  
Antti Toratti ◽  
Saujanya Karki ◽  
Paula Pesonen ◽  
Marja-Liisa Laitala ◽  
...  
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Pilot Study ◽  
Health Behaviors ◽  
Mobile Applications ◽  
Mobile Application ◽  
Oral Health Promotion ◽  
Oral Health Behaviors ◽  
Health Related ◽  
Children’S Oral Health

The aim of this pilot study was to investigate the acceptability of an oral health-related mobile application developed for young children based on the feedback given by the children and their parents. Another aim was to evaluate the self-reported change in children’s oral health behaviors during a short test period. The application—a virtual pet integrated into a child’s daily routines—aimed to promote oral hygiene and dietary behaviors in children. A total of 36 4–12-year-old voluntary children were given a mobile phone with the installed application. After the 5-week testing period, the feasibility of the application and possible changes in the children’s oral health behaviors were asked using an electronic questionnaire. Most of the children considered the application clear (n = 34), amusing (n = 31), and useful (n = 29). The children’s tooth brushing manners improved both qualitatively and quantitatively: the time used for tooth brushing increased and the children learned how to brush different tooth surfaces. Mobile applications can be fun and useful in oral health promotion; while playing, children can learn good oral health-related behaviors. Mobile applications integrate oral health promotion into children’s daily environment and routines.

scholarly journals Oral health promotion practices of Australian community mental health professionals: a cross sectional web-based survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Roisin McGrath ◽  
Rodrigo Marino ◽  
Julie Satur
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Oral Health ◽  
Community Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Oral Health Promotion ◽  
Mental Health Consumers ◽  
Australian Community ◽  
Health Support

Abstract Background This study explored the oral health promotion practices of Australian community mental health professionals working with people living with severe mental illness (SMI). Methods An anonymous cross-sectional web-based survey was distributed to all Community Rehabilitation and Support Workers (CRSWs) working at Neami National (n = 471), an Australian community mental health service. The validated questionnaire assessed participants’ self-rated oral health knowledge and confidence (7 questions); their perceived barriers (9 questions) and attitudes (5 questions) to oral health promotion; and their oral health promotion practices (7 questions). Differences in responses between groups were analysed using Chi-square, Fisher’s exact and Mann–Whitney U tests. Logistic Regression Analysis served to explore the probability of providing oral health support to mental health consumers. Results A total of 141 CRSWs were included in this study, achieving a response rate of 30 percent. Roughly two-fifths (39.0%) of participants had oral health training in the previous 12-months. The majority of CRSWs (89.3%) believed (‘Agreed’ or ‘Strongly agreed’) that mental health support workers have a role to play in promoting oral health. However, less than half (44.0%) of CRSWs practiced oral health promotion activities when working with mental health consumers. When asked about barriers to promoting oral health, ‘lack of consumer interest’ was the most prevalent issue. CRSWs who had oral health training were over three-times (OR 3.5, 95% CI 1.25–9.83, p = 0.017) more likely to provide oral health support. Results showed the provision of oral health support was most strongly associated with self-rated knowledge and confidence (OR 4.089, 95% CI 1.629–10.263, p = 0.003) and attitudes to oral health promotion (OR 3.906, 95% CI 1.77–8.65, p = 0.001). Conclusion The results of this study suggest that mental health support workers who have more positive attitudes to oral health promotion and who have higher self-rated oral health knowledge and confidence are more likely to provide oral health support in their professional role. Training for community mental health professionals is essential to build confidence and skills to promote oral health for mental health consumers.

scholarly journals Improving the oral health of older people in care homes (TOPIC): a protocol for a feasibility study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Georgios Tsakos ◽  
Paul R. Brocklehurst ◽  
Sinead Watson ◽  
Anna Verey ◽  
Nia Goulden ◽  
...  
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Complex Intervention ◽  
Assessment Tool ◽  
Care Home ◽  
Care Homes ◽  
Routine Practice ◽  
Oral Health Promotion ◽  
Nice Guideline ◽  
Care Home Staff

Abstract Background Evidence for interventions promoting oral health amongst care home residents is weak. The National Institute for Health and Care Excellence (NICE) guideline NG48 aims to maintain and improve the oral health of care home residents. A co-design process that worked with residents and care home staff to understand how the NG48 guideline could be best implemented in practice has been undertaken to refine a complex intervention. The aim of this study is to assess the feasibility of the intervention to inform a future larger scale definitive trial. Methods This is a protocol for a pragmatic cluster randomised controlled trial with a 12-month follow-up that will be undertaken in 12 care homes across two sites (six in London, six in Northern Ireland). Care homes randomised to the intervention arm (n = 6) will receive the complex intervention based on the NG48 guideline, whilst care homes randomised to the control arm (n = 6) will continue with routine practice. The intervention will include a training package for care home staff to promote knowledge and skills in oral health promotion, the use of the Oral Health Assessment Tool on residents by trained care home staff, and a ‘support worker assisted’ daily tooth-brushing regime with toothpaste containing 1500 ppm fluoride. An average of ten residents, aged 65 years or over who have at least one natural tooth, will be recruited in each care home resulting in a recruited sample of 120 participants. Assessments will be undertaken at baseline, 6 months and 12 months, and will include a dental examination and questionnaires on general health and oral health administered by a research assistant. A parallel process evaluation involving semi-structured interviews will be undertaken to explore how the intervention could be embedded in standard practice. Rates of recruitment and retention, and intervention fidelity will also be recorded. A cost-consequence model will determine the relevance of different outcome measures in the decision-making context. Discussion The study will provide valuable information for trialists, policymakers, clinicians and care home staff on the feasibility and associated costs of oral health promotion in UK care homes. Trial registration ISRCTN10276613. Registered on 17th April 2020. http://www.isrctn.com/ISRCTN10276613.

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